Individual
MARILYN ROCA ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
158 NEWARK AVE, JERSEY CITY, NJ 07302-2812
(201) 324-1700
Mailing address
12 CELIA TER, BELLEVILLE, NJ 07109-1466
(786) 260-1490
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33281
NJ
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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